Removing Vertical Lip Lines Product Advice

Twenty years ago, I had dermabrasion for vertical lip lines. One line was "erased" forever. There is now a small indentation where it used to be. I have tried everything else over the years, to fill the remaining lines, which have deepened, of course, with age. The last time, my doctor tried something (Sculptesse, maybe) that cost $1000. It didn't do significantly more than other treatments. Is there anything better you can recommend?


Doctor Answers 7

Removing vertical lip lines

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Dermabrasion may erase the line but leave behind atrophic (flattened or depressed skin) or hypopigmentation (permanent loss of pigment) skin.  Artefill is the only FDA approved permanent filler in the U.S.  Silicone is also permanent but is not FDA approved.  The safest fillers to use around the lip are the hyaluronic acids such as Restylane or Juvederm but they also wear off the fastest.  Sculptra is poly-L-lactic acid which lasts about 1 to 1.5 years.  The fillers would all look pretty similar in terms of results but the difference is in how long they last.

Walnut Creek Dermatologic Surgeon

Dermabrasion for vertical lip lines

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I would consider using a hyaluronic acid filler such as Juvederm or Restylane.  It can give you an excellent result.  It may only last one year but with aging, most procedures require maintenance treatments and it is quite simple and inexpensive to repeat.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

Removing vertical lip line wrinkles...

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Removing vertical lip line wrinkles can be effectively reduced using dermabrasion. It is important that the dermabrasion be performed down to the correct layer or effective removal of the wrinkles will not be achieved.  The lighter procedures, such as chemical peel, will not remove the wrinkles fully.  After the healing process the skin is rejuvenated and the lip wrinkles are less visible leaving a smooth more youthful appearance.  There is also the option of using fillers such as Juvederm or Radiesse, but these are often a temporary fix and are done by injection.  Consult your surgeon to see what option is best for you. 

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 222 reviews

Dermabrasion for lip lines

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Dermabrasion is an effective technique for recontouring the face and resurfacing the skin around the lips. Dermabrasion works by sending down the superficial layers of skin until the deeper layers are reached. It is these deep structures that will allow the skin to regenerate in a smoother and tighter fashion. If you have a persistent line, you may only require dermabrasion to that one area.

Lip line options

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Thank you for your question and for sharing your concerns with us. Lip lines can be a very challenging concern to address, however there are a number of options that can help improve these lines. Often, the more different modalities you use the more impact you can have on the lines and still appear very natural:
1) Botox and Dysport: Can be used to weaken the amount of pursing that your lip muscles can do, and hence limits how much deeper the lines can get. This treatment is repeated every 2-3 months
2) Restylane Silk or Juvederm: thinh dermal filler's are a great way to directly address the fine lines. This is repeated every 6-9 months
3) Ultherapy: Helps to create a little more dermal thickening. Can be done as a series to help build on the results. Should be done before fillers.
4) Profound: Micro needling radiofrequency can be used to help build collagen and elastin in the deeper skin tissue.
5) Fractionated CO2: Can be to used to smooth the superficial fine lines and create a smoother look.
It is important to choose which modalities would be helpful for you. It is also important to find a plastic surgeon or dermatologist with experience to help with your assessment and develop a plan that can help address your concerns.

Correction of a lip line and permanent depression

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There are a variety of fillers and each physician has their preferences based on their experience.

The vast majority of fillers will last in the 1 year range.

Some physicians are willing to inject Silikon 1000 which is considered permanent but is an off-label use of the product. This is currently the only product which may give permanent (good or bad) results.

Significant depressions could be filled with fat. Althernatively skin and fat from scar donor sites could be used as an implant.

Other biologic fillers or implants are available.

Contemplate a consultation with a plastic surgeon to discuss your options.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Depressed scar after dermabrasion

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  For such a focal (well-circumscribed) area, my treatment of choice would be Silikon 1000 in divided treatment sessions.  It should not be particularly costly.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 140 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.